Oregon Health and Science University
The purpose of the study is to learn more about a procedure that may be helpful for the participant's swallowing issues. The investigators are hoping to find out if one type of procedure is the same or better than another type of procedure at improving participant's issues with swallowing. Participants will get one of two procedures. One is called injection laryngoplasty (IL) and injects a gel into the back wall of the participant's airway to prevent food and liquid from falling in. The other procedure is called endoscopic suture repair (ER) and uses sutures to sew together and build up the back wall of the participant's airway to prevent food and liquid from falling in. Participants will be asked to have a number of tests and procedures. These include a modified barium swallow study, in which the participant drinks and eats foods and liquids with barium in them and X-rays are used to assess how the food moves through the participant's body. This will be done before the procedure and 3 months after the procedure. The investigators will also give participants questionnaires to complete before and after the procedure.
This study has 2 study groups. * Group 1 will get IL for this condition. * Group 2 will get ER for this condition A computer will assign each participant to a group in no particular order. This is called randomization. Half of participants in this study will get IL. Half of participants will get ER. Each participant will have an equal chance of being in either group. Neither the participants, the study doctor(s), nor the speech pathologist will know whether each participant will get the IL or ER. Only the surgeon will know which treatment the participant gets. The study is done this way bec…
Inclusion Criteria: * children aged 12 months - 10 years referred to a multi-disciplinary aerodigestive clinic with evidence of penetration or aspiration on VFSS, requiring any amount of thickening of liquids and unable to wean after 2-month trial of thickened liquids. Exclusion Criteria: * Cerebral palsy * Down syndrome * Prematurity \< 28 weeks gestational age * Hypoxic brain injury * Any syndrome with significant hypotonia * History of nothing by mouth (NPO) for \> 1 month prior to assessment * \>50% of nutrition by G-tube * Tracheostomy * History of prior IL or ER
Children receiving endoscopic suture repair of laryngeal cleft
Children receiving injection of the interarytenoid space for laryngeal cleft treatment